Penn State Health Holy Spirit Medical Center
Penn State Health Holy Spirit Medical Center in Camp Hill, PA publishes cash prices for 68 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
503 N 21st St, Camp Hill, PA 17011 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN AND PELVIS W/ CONT Tech | $426.68 | $1,786.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT Enterography w/ Contrast Tech | $426.68 | $1,786.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABD & PELV W/CONTRAST Tech | $426.68 | $1,786.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABD & PELV W/CONTRAST Tech | $426.68 | $1,786.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN AND PELVIS W/ CONT Tech | $426.68 | $1,786.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT Enterography w/ Contrast Tech | $426.68 | $1,786.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT HEAD/BRAIN W/O DYE Tech | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT HEAD/BRAIN W/O DYE WKC TECH | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT BRAIN/HEAD W/O CONTRAST WKC Tech | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT BRAIN/HEAD W/O CONTRAST Tech | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT HEAD/BRAIN W/O DYE WKC TECH | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT BRAIN/HEAD W/O CONTRAST WKC Tech | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT HEAD/BRAIN W/O DYE Tech | $127.09 | $532.00 | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT BRAIN/HEAD W/O CONTRAST Tech | $127.09 | $532.00 | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT PELVIS W/ CONTRAST Tech | $212.62 | $890.00 | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT PELVIS W/DYE Tech | $212.62 | $890.00 | 76% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT PELVIS W/ CONTRAST Tech | $212.62 | $890.00 | 76% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT PELVIS W/DYE Tech | $212.62 | $890.00 | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 MG. Mammo Implant Digital Diag Bilateral - Report Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 MG. Mammo Digital Diagnostic Bilat - Report Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 MG. Bilat Diag Mam Call Back Same day - Report Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 DX MAMMO INCL CAD BI Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 MG. Bilat Diag Mam Call Back Same day - Report Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 MG. Mammo Implant Digital Diag Bilateral - Report Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 DX MAMMO INCL CAD BI Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 MG. Mammo Digital Diagnostic Bilat - Report Tech | $156.00 | $653.00 | 76% |
| Diagnostic mammogram, one breast CPT 77065 77065 DX MAMMO INCL CAD UNI Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Post Clip Placement Right - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Unilat Diag Right Call Back Same Day - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Unilat Diag Left Call Back Same Day - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Post Clip Placement Left - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Implant Digital Diag Right - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Implant Digital Diag Left Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Digital Diagnostic Left Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 DX MAMMO INCL CAD UNI RT Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient CPT 77065 77065 DX MAMMO INCL CAD UNI Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Post Clip Placement Right - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Unilat Diag Left Call Back Same Day - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 DX MAMMO INCL CAD UNI RT Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Digital Diagnostic Left Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Implant Digital Diag Left Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Post Clip Placement Left - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Unilat Diag Right Call Back Same Day - Report Tech | $122.56 | $513.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Implant Digital Diag Right - Report Tech | $122.56 | $513.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 73721 MRI LWR EXTR JT W/O CONT WKC TECH | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Ankle w/o Contrast Right Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Hip w/o Contrast Left Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Hip w/o Contrast Right Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Knee w/o Contrast Left Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Knee w/o Contrast Right Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Ankle w/o Contrast Left Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 73721 MRI LWR EXTR JT W/O CONT WKC TECH | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Hip w/o Contrast Left Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Hip w/o Contrast Right Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Knee w/o Contrast Left Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Knee w/o Contrast Right Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Ankle w/o Contrast Left Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Ankle w/o Contrast Right Tech | $288.83 | $1,209.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 73723 MRI JOINT LWR EXTR W/O&W/DYE Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Right Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Left Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Right Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Left Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Right Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Left Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 73723 MRI JOINT LWR EXTR W/O&W/DYE Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Left Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Right Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Left Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Right Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Left Tech | $426.68 | $1,786.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Right Tech | $426.68 | $1,786.00 | 76% |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI BRAIN STEM W/O DYE Tech | $288.83 | $1,209.00 | 76% |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI BRAIN STEM W/O DYE WKC TECH | $288.83 | $1,209.00 | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 MRI BRAIN STEM W/O DYE Tech | $288.83 | $1,209.00 | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 MRI BRAIN STEM W/O DYE WKC TECH | $288.83 | $1,209.00 | 76% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 MRI BRAIN STEM W/O & W/DYE Tech | $426.68 | $1,786.00 | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 MRI BRAIN STEM W/O & W/DYE Tech | $426.68 | $1,786.00 | 76% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI LUMBAR SPINE W/O DYE Tech | $288.83 | $1,209.00 | 76% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI L SPINE W/WO CONTRAST Tech | $288.83 | $1,209.00 | 76% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI LUMBAR SPINE W/O DYE WKC TECH | $288.83 | $1,209.00 | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MRI LUMBAR SPINE W/O DYE Tech | $288.83 | $1,209.00 | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MRI L SPINE W/WO CONTRAST Tech | $288.83 | $1,209.00 | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MRI LUMBAR SPINE W/O DYE WKC TECH | $288.83 | $1,209.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 OB US >= 14 WKS SNGL FETUS Tech | $127.09 | $532.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 OB US >= 14 WKS SNGL FETUS Tech | $127.09 | $532.00 | 76% |
| Screening mammogram, both breasts both sides CPT 77067 77067 MG. Mammo Digital Screening Bilateral - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts both sides CPT 77067 77067 MG. Mammo Implant Digital Screen Bilat - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Digital Screening Left Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Digital Screening Right - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Implant Digital Screen Left - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Implant Digital Screen Right - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 MG. Mammo Implant Digital Screen Bilat - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 MG. Mammo Digital Screening Bilateral - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Implant Digital Screen Right - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Digital Screening Left Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Digital Screening Right - Report Tech | $129.01 | $540.00 | 76% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Implant Digital Screen Left - Report Tech | $129.01 | $540.00 | 76% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM Tech | $1,579.85 | $6,613.00 | 76% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM Tech | $1,579.85 | $6,613.00 | 76% |
| Transvaginal pelvic ultrasound CPT 76830 76830 TRANSVAGINAL US NON-OB Tech | $127.09 | $532.00 | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 TRANSVAGINAL US NON-OB Tech | $127.09 | $532.00 | 76% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US EXAM ABDOM COMPLETE Tech | $127.09 | $532.00 | 76% |
| Ultrasound of the abdomen, complete CPT 76700 76700 ECHOgraphy Abdomen Complete Tech | $127.09 | $532.00 | 76% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US EXAM ABDOM COMPLETE Tech | $127.09 | $532.00 | 76% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 ECHOgraphy Abdomen Complete Tech | $127.09 | $532.00 | 76% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 X-RAY EXAM L-2 SPINE 4/>VWS WKC TECH | $127.09 | $532.00 | 76% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 X-RAY EXAM L-2 SPINE 4/>VWS Tech | $127.09 | $532.00 | 76% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 X-RAY EXAM L-2 SPINE 4/>VWS Tech | $127.09 | $532.00 | 76% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 X-RAY EXAM L-2 SPINE 4/>VWS WKC TECH | $127.09 | $532.00 | 76% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 .BO Ebola BMP Tech | $13.14 | $55.00 | 76% |
| Basic metabolic panel (blood test) CPT 80048 80048 METABOLIC PANEL TOTAL CA Tech | $13.14 | $55.00 | 76% |
| Basic metabolic panel (blood test) inpatient CPT 80048 .BO Ebola BMP Tech | $13.14 | $55.00 | 76% |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 METABOLIC PANEL TOTAL CA Tech | $13.14 | $55.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL Tech | $20.78 | $87.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Panel. Tech | $20.78 | $87.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL Tech | $20.78 | $87.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Panel. Tech | $20.78 | $87.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 .BO Ebola CBC Diff Tech | $12.18 | $51.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC Tech | $12.18 | $51.00 | 76% |
| Complete blood count (CBC) with differential inpatient CPT 85025 .BO Ebola CBC Diff Tech | $12.18 | $51.00 | 76% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC Tech | $12.18 | $51.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC w/ Manual Differential. Tech | $10.03 | $42.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE CBC AUTOMATED Tech | $10.03 | $42.00 | 76% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 COMPLETE CBC AUTOMATED Tech | $10.03 | $42.00 | 76% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC w/ Manual Differential. Tech | $10.03 | $42.00 | 76% |
| Comprehensive metabolic panel (blood test) CPT 80053 80053 COMPREHEN METABOLIC PANEL Tech | $16.48 | $69.00 | 76% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 COMPREHEN METABOLIC PANEL Tech | $16.48 | $69.00 | 76% |
| Kidney function blood test panel CPT 80069 80069 RENAL FUNCTION PANEL Tech | $13.38 | $56.00 | 76% |
| Kidney function blood test panel inpatient CPT 80069 80069 RENAL FUNCTION PANEL Tech | $13.38 | $56.00 | 76% |
| Liver function blood test panel CPT 80076 80076 HEPATIC FUNCTION PANEL Tech | $12.66 | $53.00 | 76% |
| Liver function blood test panel CPT 80076 .BO Ebola Hepatic Panel Tech | $12.66 | $53.00 | 76% |
| Liver function blood test panel inpatient CPT 80076 80076 HEPATIC FUNCTION PANEL Tech | $12.66 | $53.00 | 76% |
| Liver function blood test panel inpatient CPT 80076 .BO Ebola Hepatic Panel Tech | $12.66 | $53.00 | 76% |
| Obstetric blood test panel CPT 80055 80055 OBSTETRIC PANEL Tech | $74.30 | $311.00 | 76% |
| Obstetric blood test panel inpatient CPT 80055 80055 OBSTETRIC PANEL Tech | $74.30 | $311.00 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA Free and Percent Free PSA. Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 ASSAY OF PSA FREE Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 ASSAY OF PSA FREE Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA Free and Percent Free PSA. Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA Diagnostic. Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PSA TOTAL Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total (QST) Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 .PSA, Post-Prostatectomy w HAMA-Quest Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total, Reflex PSA Free-Quest Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Screening PSA Tech | $30.10 | $126.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultra Sensitive Tech | $30.10 | $126.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total, Reflex PSA Free-Quest Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total (QST) Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 .PSA, Post-Prostatectomy w HAMA-Quest Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PSA TOTAL Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PSA Diagnostic. Tech | $28.67 | $120.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Screening PSA Tech | $30.10 | $126.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultra Sensitive Tech | $30.10 | $126.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 APTT (QST) Tech | $9.32 | $39.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Partial Thromboplastin Time. Tech | $9.32 | $39.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLASTIN TIME PARTIAL Tech | $9.32 | $39.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 APTT (QST) Tech | $9.32 | $39.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLASTIN TIME PARTIAL Tech | $9.32 | $39.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Partial Thromboplastin Time. Tech | $9.32 | $39.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME Tech | $6.69 | $28.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin Time and INR. Tech | $6.69 | $28.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time/INR by Istat Tech | $6.69 | $28.00 | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time/INR by Istat Tech | $6.69 | $28.00 | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin Time and INR. Tech | $6.69 | $28.00 | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME Tech | $6.69 | $28.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 Thyroid Stimulating Hormone. Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH (NEWBORN Scrn) Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH Neonatal-Quest Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH Ultra Sensitive Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH without HAMA Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH without HAMA Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH (NEWBORN Scrn) Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH Neonatal-Quest Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 Thyroid Stimulating Hormone. Tech | $26.04 | $109.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH Ultra Sensitive Tech | $26.04 | $109.00 | 76% |
| Urinalysis with microscope exam, automated CPT 81001 81001 URINALYSIS AUTO W/SCOPE Tech | $5.02 | $21.00 | 76% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 URINALYSIS AUTO W/SCOPE Tech | $5.02 | $21.00 | 76% |
| Urinalysis with microscope exam, manual CPT 81000 81000 URINALYSIS NONAUTO W/SCOPE Tech | $6.21 | $26.00 | 76% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 URINALYSIS NONAUTO W/SCOPE Tech | $6.21 | $26.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 URINALYSIS AUTO W/O SCOPE Tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis auto without scope tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Specific Gravity Urine. Tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urine pH tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis auto without scope tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urine pH tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Specific Gravity Urine. Tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 URINALYSIS AUTO W/O SCOPE Tech | $3.58 | $15.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE Tech | $5.49 | $23.00 | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE Tech | $5.49 | $23.00 | 76% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984 XCAPSL CTRC RMVL W/O ECP Tech | $3,541.69 | $14,825.00 | 76% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 XCAPSL CTRC RMVL W/O ECP Tech | $3,541.69 | $14,825.00 | 76% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY Tech | $4,937.35 | $20,667.00 | 76% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY Tech | $4,937.35 | $20,667.00 | 76% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US Tech | $1,830.93 | $7,664.00 | 76% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US Tech | $1,830.93 | $7,664.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY W/LESION REMOVAL Tech | $1,830.93 | $7,664.00 | 76% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY W/LESION REMOVAL Tech | $1,830.93 | $7,664.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY Tech | $1,830.93 | $7,664.00 | 76% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY Tech | $1,830.93 | $7,664.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY Tech | $1,415.72 | $5,926.00 | 76% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY Tech | $1,415.72 | $5,926.00 | 76% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY Tech | $9,059.80 | $37,923.00 | 76% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY Tech | $9,059.80 | $37,923.00 | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC >5 YR Tech | $5,480.13 | $22,939.00 | 76% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC >5 YR Tech | $5,480.13 | $22,939.00 | 76% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY Tech | $5,038.40 | $21,090.00 | 76% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY Tech | $5,038.40 | $21,090.00 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY Tech | $851.92 | $3,566.00 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY Tech | $851.92 | $3,566.00 | 76% |
| Left heart catheterization, diagnostic one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY Tech | $4,994.68 | $20,907.00 | 76% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY Tech | $4,994.68 | $20,907.00 | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 NM INJ RP LUM/SAC Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTRLM LMB/SAC W/IMAG Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 NJX INTERLAMINAR LMBR/SAC Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 XR Inj Lumbar/Sacral Epidural Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PM Epi Steroid Inj Lumb Or Sacral Spine Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PM Epi Steroid Inj Lumb Or Sacral Spine Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 XR Inj Lumbar/Sacral Epidural Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTRLM LMB/SAC W/IMAG Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 NJX INTERLAMINAR LMBR/SAC Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 NM INJ RP LUM/SAC Tech | $1,075.29 | $4,501.00 | 76% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC Tech | $1,382.51 | $5,787.00 | 76% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTRLM LMB/SAC W/O Tech | $1,382.51 | $5,787.00 | 76% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC Tech | $1,382.51 | $5,787.00 | 76% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTRLM LMB/SAC W/O Tech | $1,382.51 | $5,787.00 | 76% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJ FORAMEN EPIDURAL L/S Tech | $1,382.51 | $5,787.00 | 76% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 INJ FORAMEN EPIDURAL L/S Tech | $1,382.51 | $5,787.00 | 76% |
| Prostate biopsy CPT 55700 55700 BIOPSY OF PROSTATE Tech | $3,180.95 | $13,315.00 | 76% |
| Prostate biopsy CPT 55700 55700 US* BIOPSY PROSTATE Tech | $3,180.95 | $13,315.00 | 76% |
| Prostate biopsy CPT 55700 55700 CT Biopsy Prostate Tech | $3,180.95 | $13,315.00 | 76% |
| Prostate biopsy inpatient CPT 55700 55700 US* BIOPSY PROSTATE Tech | $3,180.95 | $13,315.00 | 76% |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY OF PROSTATE Tech | $3,180.95 | $13,315.00 | 76% |
| Prostate biopsy inpatient CPT 55700 55700 CT Biopsy Prostate Tech | $3,180.95 | $13,315.00 | 76% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY Tech | $16,167.08 | $67,673.00 | 76% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY Tech | $16,167.08 | $67,673.00 | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION Tech | $5,946.22 | $24,890.00 | 76% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION Tech | $5,946.22 | $24,890.00 | 76% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY Tech | $922.87 | $3,863.00 | 76% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY Tech | $922.87 | $3,863.00 | 76% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 REMOVE TONSILS AND ADENOIDS Tech | $9,186.18 | $38,452.00 | 76% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 REMOVE TONSILS AND ADENOIDS Tech | $9,186.18 | $38,452.00 | 76% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY Tech | $19,980.16 | $83,634.00 | 76% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY Tech | $19,980.16 | $83,634.00 | 76% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY Tech | $19,980.16 | $83,634.00 | 76% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY Tech | $19,980.16 | $83,634.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE Tech | $1,455.86 | $6,094.00 | 76% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE Tech | $1,455.86 | $6,094.00 | 76% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH Tech | $1,455.86 | $6,094.00 | 76% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH Tech | $1,455.86 | $6,094.00 | 76% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 VBAC DELIVERY Tech | $6,552.07 | $27,426.00 | 76% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 VBAC DELIVERY Tech | $6,552.07 | $27,426.00 | 76% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 OBSTETRICAL CARE Tech | $4,937.35 | $20,667.00 | 76% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 OBSTETRICAL CARE Tech | $4,937.35 | $20,667.00 | 76% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 90847 Therapist Tele-Fam Psytx W/Pt Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYTX W/PT 50 MIN Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 THERAPIST TELE-Fam Psytx W/Pt BH Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 DBT Fam Psytx W/Pt 50 Min Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family Therapy 60 Min W/P BH Tech | $320.36 | $1,341.00 | 76% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 THERAPIST TELE-Fam Psytx W/Pt BH Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 DBT Fam Psytx W/Pt 50 Min Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Therapist Tele-Fam Psytx W/Pt Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY PSYTX W/PT 50 MIN Tech | $249.41 | $1,044.00 | 76% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Therapy 60 Min W/P BH Tech | $320.36 | $1,341.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 PRO TELE-Family Psytx W/O Patient BH Tech | $67.85 | $284.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Therapist Tele-Fam Psytx W/O Pt Tech | $249.41 | $1,044.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 THERAPIST TELE-Fam Psytx W/O Pt BH Tech | $249.41 | $1,044.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYTX W/O PT 50 MIN Tech | $249.41 | $1,044.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy W/O Patient BH Tech | $317.26 | $1,328.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 90849 Mult Family Group Psychotherapy BH Tech | $317.26 | $1,328.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 PRO TELE-Family Psytx W/O Patient BH Tech | $67.85 | $284.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Therapist Tele-Fam Psytx W/O Pt Tech | $249.41 | $1,044.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 THERAPIST TELE-Fam Psytx W/O Pt BH Tech | $249.41 | $1,044.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYTX W/O PT 50 MIN Tech | $249.41 | $1,044.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90849 Mult Family Group Psychotherapy BH Tech | $317.26 | $1,328.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy W/O Patient BH Tech | $317.26 | $1,328.00 | 76% |
| Group psychotherapy session CPT 90853 90853 Therapist Tele-Group Psytx Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session CPT 90853 90853 MA/MAHMO Group Psychotherapy Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session CPT 90853 90853 THERAPIST TELE-Group Psytx BH Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session CPT 90853 90853 Group Psychotherapy BH Tech | $160.30 | $671.00 | 76% |
| Group psychotherapy session CPT 90853 90853 MA/MAHMO Group Psychotherapy BH Tech | $160.30 | $671.00 | 76% |
| Group psychotherapy session inpatient CPT 90853 90853 THERAPIST TELE-Group Psytx BH Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session inpatient CPT 90853 90853 GROUP PSYCHOTHERAPY Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session inpatient CPT 90853 90853 MA/MAHMO Group Psychotherapy Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session inpatient CPT 90853 90853 Therapist Tele-Group Psytx Tech | $143.58 | $601.00 | 76% |
| Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy BH Tech | $160.30 | $671.00 | 76% |
| Group psychotherapy session inpatient CPT 90853 90853 MA/MAHMO Group Psychotherapy BH Tech | $160.30 | $671.00 | 76% |
| New patient office visit, about 30 minutes CPT 99203 99203 Outpatient Visit New Lvl 3 BH Tech | $83.38 | $349.00 | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 Outpatient Visit New Lvl 3 BH Tech | $83.38 | $349.00 | 76% |
| New patient office visit, about 45 minutes CPT 99204 99204 Outpatient Visit New Lvl 4 BH Tech | $118.26 | $495.00 | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 Outpatient Visit New Lvl 4 BH Tech | $118.26 | $495.00 | 76% |
| New patient office visit, about 60 minutes CPT 99205 99205 Outpatient Visit New Lvl 5 BH Tech | $150.98 | $632.00 | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 Outpatient Visit New Lvl 5 BH Tech | $150.98 | $632.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech PT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PTA Therapeutic Exercises (15 Min) Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech OT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES Tech PT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES Tech OT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OTA Therapeutic Exercise 15 min Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech OT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES Tech PT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES Tech OT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech PT Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PTA Therapeutic Exercises (15 Min) Tech | $42.76 | $179.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OTA Therapeutic Exercise 15 min Tech | $42.76 | $179.00 | 76% |
| Psychotherapy session, 30 minutes CPT 90832 90832 THERAPIST TELE-Psytx Pt&Fam 30 Min BH Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Therapist Tele-Psytx Pt&Fam 30 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX W PT 30 MINUTES Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psytx INDV Pt 30 Minutes BH Tech | $296.95 | $1,243.00 | 76% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Therapist Tele-Psytx Pt&Fam 30 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX W PT 30 MINUTES Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 THERAPIST TELE-Psytx Pt&Fam 30 Min BH Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx INDV Pt 30 Minutes BH Tech | $296.95 | $1,243.00 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 90834 DBT Indiv Therapy 45 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX W PT 45 MINUTES Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 90834 THERAPIST TELE-Psytx Pt&Fam 45 Min BH Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 90834 Therapist Tele-Psytx Pt&Fam 45 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psytx INDV Pt 45 Minutes BH Tech | $312.48 | $1,308.00 | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 DBT Indiv Therapy 45 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX W PT 45 MINUTES Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Therapist Tele-Psytx Pt&Fam 45 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 THERAPIST TELE-Psytx Pt&Fam 45 Min BH Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx INDV Pt 45 Minutes BH Tech | $312.48 | $1,308.00 | 76% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Therapist Tele-Psytx Pt&Fam 60 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYTX W PT 60 MINUTES Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 60 minutes CPT 90837 90837 THERAPIST TELE-Psytx Pt&Fam 60 Min BH Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psytx INDV Pt 60 Minutes BH Tech | $342.34 | $1,433.00 | 76% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Therapist Tele-Psytx Pt&Fam 60 Min Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 THERAPIST TELE-Psytx Pt&Fam 60 Min BH Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYTX W PT 60 MINUTES Tech | $249.41 | $1,044.00 | 76% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx INDV Pt 60 Minutes BH Tech | $342.34 | $1,433.00 | 76% |